Laserfiche WebLink
F. In-Tank Gauging/SIR Equipment: <br /> ® Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if no tank gauging or SIR equipment is installed. <br /> This section must be completed if in-lank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> ❑ Yes ❑ No' Has all input wiring been inspected for proper entry and termination,inducting testing or ground faults? <br /> ❑ Yes ❑ No' Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes ❑ NW Was secure_of system product level readings tested? <br /> ❑ Yes ❑ No' Was accuracy of system water level readings tesled7 <br /> ❑ Yes ❑ No' Were all probes reinstalled properly? <br /> 11Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> 'In Section H,below,describe haw and when these deficiencies were orwill 6e corrected. <br /> Line Leak Detectors(LLD): ® Check this box if LLDs are not installed. <br /> Com tete the followin checklist: <br /> ❑ Yes ❑ No' For equipment start-up or annual equipment certification, was a leak simulated to verify at apply'/N/A Simulated leak rate: ®3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g.p.h. pp y) <br /> ❑ Yes ❑ No, Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ Yes ❑ No' Was the testing apparatus property calibrated? <br /> ❑ Yes ❑ No' For mechanical LLDs,does the LLD restrict product Bow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if the LLD as <br /> a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> ❑ N/A <br /> ❑ Yes ❑ No, For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a fest? <br /> ❑ N/A <br /> ❑ Yes ❑ NW For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> ❑ Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> 'In Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Monitoring System Certification Page 3 of 4 2/21/07 <br />